实习护生心理安全感、实习环境与患者安全胜任力的相关性研究

Correlation Study among Psychological Safety, Clinical Learning Environment and Patient Safety Competency of Intern Nursing Students

摘要: 目的：探究实习护生心理安全感、实习环境与患者安全胜任力间的相关性，旨在从实习护生心理安全感和实习环境角度分析提升实习护生患者安全胜任力的方法策略。方法：采用便利抽样方法选取350名临床实习护生为研究对象，使用一般资料问卷、患者安全胜任力自评量表、护理临床实习环境评价量表、心理安全感量表进行线上问卷调查。结果：本研究中，研究对象的患者安全胜任力、护理临床实习环境、心理安全感条目均分分别为(3.95 ± 0.53)分、(4.16 ± 0.51)分、(3.60 ± 0.85)分。实习护生心理安全感、实习环境和患者安全胜任力三者间呈正相关关系(P < 0.05)。回归分析结果显示，临床实习环境、心理安全感、不同学制、学习成绩为患者安全胜任力的影响因素，可解释总体变异的59.0%。结论：实习护生的心理安全感、实习环境与患者安全胜任力密切相关，护理管理者应注重改善临床实习环境、提高护生的心理安全感，对培养护生的患者安全胜任力，构建优质高效的医疗质量管理与控制体系，保障患者安全至关重要。

Abstract: Objective: To explore the correlation between psychological security, practice environment and patient safety competence of nursing students, and to analyze the methods and strategies to improve the safety competence of nursing students from the two dimensions of psychological security and practice environment. Methods: A convenient sampling method was used to select 350 clinical nursing students as the research objects, and the general data scale, patient safety competency self-rating scale, nursing clinical practice environment assessment scale and psychological security scale were used to investigation. Results: The average scores of clinical practice nursing students’ safety competency scale, nursing clinical practice environment assessment scale and security scale were (3.95 ± 0.53) scores, (4.16 ± 0.51) scores and (3.60 ± 0.85) scores respectively. There was a positive correlation between psychological security, practice environment and patient safety competence (P < 0.05). The regression results showed that clinical practice environment, psychological security, different academic system, academic performance, internship weeks, monthly night shift number, daily working hours, whether adverse nursing events occurred, and nursing work attitude were the influencing factors of patient safety competence, which could explain 59.0% of the total variation. Conclusion: The psychological security of nursing students, the clinical practice environment, and patient safety competence are closely related. Nursing managers should prioritize improving the clinical practice environment and enhancing the psychological security of nursing students, which is crucial for fostering their patient safety competence, establishing a high-quality and efficient medical quality management and control system, and ensuring patient safety.